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NPI 1285567834

NPI 1285567834 : DARLENE CORRAL LCSW, LICSW : NEWBERG, OR

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General NPI Number Information
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    NPI Number           |    1285567834
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    Entity Type          |    Individual 
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    Provider Name        |    DARLENE CORRAL LCSW, LICSW
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/04/2026
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    Last Update Date     |    06/04/2026
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Provider Practice Location Address
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    Address Line         |    1000 N PROVIDENCE DR STE 310 
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    City                 |    NEWBERG
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    State                |    OR
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    Zip                  |    97132-7582
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    Country              |    US
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    Telephone            |    503-537-6040
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    Fax                  |    503-537-6045
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Provider Business Mailing Address
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    Address Line         |    1000 N PROVIDENCE DR STE 310 
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    City                 |    NEWBERG
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    State                |    OR
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    Zip                  |    97132-7582
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    Country              |    US
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    Telephone            |    503-537-6040
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    Fax                  |    503-537-6045
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    LW60814075
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    License Number State |    WA
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Taxonomy #2
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    Taxonomy Code        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    L6503
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    License Number State |    OR
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